HomeMy WebLinkAboutPermit Plumbing 1998-04-02PRI
IIESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
I-OCATION OF PROPOSED WORK:
,\SSESSORS MAP:o
?rOSg
LOT BLOCK:
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT h 7a-12
SUBDIVISION: _
iF
PHONEIt
ZlPi
F!
7a 1of
+t=.{-72CITYr
ADDRESS:
OWNER:
It
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW-_ REMODEL
ADDRESS
L r
EXPIRES 1 PHONE
CONTRACTOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTRICAL
CONST.
CONTRACTOR #
- OFFICE USE -
LAND USE:
FIANGE:
QUAD AREA:
r OF BLDGS:FLOOD PLAIN;
ZONING CODE:
SECONDABY HEAI:
SQUAHE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:_
WATEB HEATER:-
To request an lnspectlon, you must cmade the same worklng c,ay, lnspect
[--l remporary Etectrlc
SIle lnspectlon _ To be madcaft.er excavailon, but prlor tosettlng forms.
fl:5:,1L'" i Itsi :7 i 5, ::yi;",,
l-99!tng - After rrenches areexcavated.
Masonry - Steel locailon, bondbeems, gicuilnO.
Underlloor plumblng/ Mechanlcat
- Ynot to lnsulailon or decklng.
Post. and Beam - prlor to floorrnsutailon or decklng.
Floor lnsulation - prlor todecklng.
R EQUIRED INSPECTIONS
Rough Mechantcal _ prlor tocover.
!-oueh Electrlcat _ prlor tocover.
^el1c-11tca.l .servtce _ Must be
lper.oyed. to obtaln permanentotectrlcal power.
!lgpt."9" - prtor to factngmaterlats and framlng lnspl
Framlng - prlor to cover.
W-alllCelllng lnsulatton _ prlor tocover.
Drywall - prlor to taplng.
Wood Stovo - Altor lnstallallon.
lnsert - After flreplace approvaland lnstallaflon ol'unlt.
Curbcut & Approach _ Afterrorms are erected but prlor lopracemcnt of concrete.
, Plumblng - When allorng worl< is complete.
all 726.3
lons req
769. Thls ls a 24 hour recorc,lng. Alluested after 7:00 a.m. wlll be.made
requested before 7100 a.m. wfl beg work day.
lnspections
the followin
--rffi,,;"Xrji[il]
Flnal Mechanlcal _ When allmechanlcal work ls complete.
FiiiSJiAnB;"yJ it#, 0""
^approved and bulldino lscompleted.
plum
OtherE ii*t3;,f:;l ;, #tr J:tT;,1"
ffi"d PJumbrns - Prror
llary Sewer - prlor to f llllng
Slorm Sewer - prlor to fllllng'trench.
Water Llne - prlor to filllngtrench.
Rough Plumblng - prlor tocover.
Sldewalk & Drlveway _ Afterexcavailon ls complete, formsand sub-base malerlal in place.
Fence - lVhen coi-rrpleted.
MOBILE HOME INSPE TIONS
[-l Blocklng and Ser.Up _ When ail
-
blocklng ls compleie.
Plumblng Connectlons _ Whenhome has been connected towater and sewer.
Eleclrlcal Connection _ .When
Pl9:I119, ser.up, and ptumbtnjtnspecilons have been approvidand the .home is connected torne servlce panel.
f-] ^rStreet
Trees - When ail requtred
-
f rees are planted.
Flnal - After all requiredrnspecilons are approved andporc.hes, sklrting, decks, andventlng have been lnstalled.
r=] i\STATE: €''(?>en-
l
E E
E tl tlEtltl
IJ tlE
fl
P,L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Tyr
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, ON OT.T
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the H istorlcal
Coordinator prlor to permit issuance.
APPROVED:
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City ot Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Beviewed BY(A)Date
,:.
Plan Check Fee:
Date Paid:
Beceived BY
Total Value
Building Permit Fee
State Surcharge
Total Fee
Receipt Number:-
X $/SO. FT. = VALUE
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
lTEM
Flxtures
Flesidential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
Nt
ao
3??zly 1,70
{r
FT
FT.
Z? 2r
( r''(c)
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlonhereonistrueanclcorrect,andlfurthercertlly
that any and all work performed shall be done in accordance
with the ordinances of the City of Spr|ngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
str'.tcture without permission r:f the Building Saiety Division'
I further certify that only contractors and employees who
are ln compliance with ORS 701'055 will be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each addiess ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
constructlon.duon the site at
Slgnature
ti
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
{t
Curbcut
--
ft
Demolition
State Surcharge
(E)
:$
Total Misiellaneous Permits
)a
a
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVE.D
RECEIVED BYTOTAL AMOUNT DUE (excluding electrical)
(A, B, C, O and E Combined)
, :--lrr a'i':,'. r. .rl ,
ADDITIONAL COI/IMENTS
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